DEPARTMENT OF INSURANCE

Affiliations

Name	Insuractive LLC	DOIID	820112	NAIC NPN	3520592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/10/2013	3/31/2025
Active	Non Resident	Agent	Health	9/10/2013	3/31/2025
Active	Non Resident	Agent	Life	9/10/2013	3/31/2025
Active	Non Resident	Agent	Property	9/10/2013	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/14/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	9/4/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/22/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/14/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	4/14/2014
Inactive	American Continental Insurance Company	643130	Agent - Health	3/5/2014	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	3/5/2014	11/12/2014
Active	American General Life Insurance Company	301585	Agent - Health	3/22/2017
Active	American General Life Insurance Company	301585	Agent - Life	3/22/2017
Active	American National Insurance Company	301861	Agent - Life	2/14/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	4/29/2014	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	4/29/2014	12/24/2015
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	1/18/2018
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/20/2014
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/20/2014
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	11/18/2022
Active	Cigna National Health Insurance Company	300235	Agent - Health	12/3/2023
Active	Clear Spring Health Insurance Company	301686	Agent - Health	9/19/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	5/5/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/16/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/30/2014
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/25/2016
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/5/2016
Active	Humana Insurance Company	301104	Agent - Health	8/1/2014
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/8/2016
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/25/2017
Active	Medco Containment Life Insurance Company	301557	Agent - Health	12/3/2023
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	4/15/2014	4/19/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	4/15/2014	4/19/2018
Active	Medico Insurance Company	301559	Agent - Health	10/24/2023
Active	Medico Insurance Company	301559	Agent - Life	10/24/2023
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	1/10/2020	12/28/2020
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	1/10/2020	12/28/2020
Active	National Health Insurance Company	300554	Agent - Health	11/2/2023
Active	National Health Insurance Company	300554	Agent - Life	11/2/2023
Active	Omaha Health Insurance Company	301296	Agent - Health	4/4/2019
Inactive	Security Life Insurance Company of America	300936	Agent - Health	7/29/2014	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	7/29/2014	12/31/2016
Active	SilverScript Insurance Company	663526	Agent - Health	2/19/2020
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	12/9/2019	12/27/2023
Inactive	United States Fire Insurance Company	582240	Agent - Property	12/9/2019	12/27/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2014
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/23/2014	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butler, Robin L	573129	Agent - Health	2/16/2016	4/22/2022
Inactive	Butler, Robin L	573129	Agent - Life	2/16/2016	4/22/2022
Active	Chamberlain, Kateri Lynn	609601	Agent - Health	7/13/2017
Denied	Chamberlain, Kateri Lynn	609601	Agent - Life
Active	Chamberlain, Nicole M	647977	Agent - Health	2/16/2016
Active	Chamberlain, Nicole M	647977	Agent - Life	2/16/2016
Active	Christensen, Megan Julianna	962014	Agent - Health	2/4/2019
Active	Christensen, Megan Julianna	962014	Agent - Life	2/4/2019
Inactive	Coon, Shelly A	653625	Agent - Health	2/16/2016	4/22/2022
Inactive	Coon, Shelly A	653625	Agent - Life	2/16/2016	4/22/2022
Active	Glaze, Robert David	658039	Agent - Health	2/16/2016
Active	Glaze, Robert David	658039	Agent - Life	2/16/2016
Inactive	Gorsuch, Brian Thomas	986017	Agent - Health	2/4/2019	7/15/2019
Inactive	Gorsuch, Brian Thomas	986017	Agent - Life	2/4/2019	7/15/2019
Active	Hickey, Brian J	672742	Agent - Casualty	9/10/2013
Active	Hickey, Brian J	672742	Agent - Health	9/10/2013
Active	Hickey, Brian J	672742	Agent - Life	9/10/2013
Active	Hickey, Brian J	672742	Agent - Property	9/10/2013
Inactive	Jackson, Anthony Tarrel	754698	Agent - Health	2/4/2019	10/11/2019
Inactive	Jackson, Anthony Tarrel	754698	Agent - Life	2/4/2019	10/11/2019
Active	Kleinberg, Hershel Alan	743408	Agent - Health	9/10/2013
Active	Kleinberg, Hershel Alan	743408	Agent - Life	9/10/2013
Active	Krebs-Murnane, Kim M	1029307	Agent - Health	7/15/2019
Active	Krebs-Murnane, Kim M	1029307	Agent - Life	7/15/2019
Inactive	Larsen, Jodi R	1192054	Agent - Health	4/22/2022	5/16/2023
Active	Livingstone, Keith Alexander	1183663	Agent - Health	4/22/2022
Active	Livingstone, Keith Alexander	1183663	Agent - Life	4/22/2022
Active	Mcbrien, Mindy L	1194434	Agent - Health	4/22/2022
Inactive	Norqual, David Leonard	1193768	Agent - Health	4/22/2022	4/30/2023
Inactive	Norqual, David Leonard	1193768	Agent - Life	4/22/2022	4/30/2023
Inactive	Olson, Julie	775607	Agent - Health	2/16/2016	6/21/2017
Inactive	Olson, Julie	775607	Agent - Life	2/16/2016	6/21/2017
Active	Perlinger, Pamela K	1154949	Agent - Health	4/14/2022
Active	Ponce, Alejandro Alejandro	822566	Agent - Health	4/22/2022
Active	Ponce, Alejandro Alejandro	822566	Agent - Life	4/22/2022
Inactive	Vlasin, Ryan James	960423	Agent - Health	2/4/2019	7/6/2022
Inactive	Vlasin, Ryan James	960423	Agent - Life	2/4/2019	7/6/2022